ISSN 2398-2950      

Radiography: myelography

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Introduction

  • Introduction of contrast into the subarachnoid space to allow visualization of the spinal cord.

Uses

  • Investigation of:
    • Back or neck pain.
    • Neurological deficits thought to arise from spinal cord compression.
  • Localization of site of compression if spinal surgery contemplated.

Advantages

  • Relatively accurate for diagnosis of spinal cord compression and localization of lesion.
  • May give some indication of likely etiology.

Disadvantages

  • Risk of exacerbating lesion.
  • Requires general anesthesia.
  • Invasive.
  • Contraindicated if increased CSF pressure or meningitis.
  • Risk of seizures after procedure.
  • Difficulty interpreting if suboptimal radiograph.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Widmer W R & Blevins W E (1991) Veterinary myelography - a review of contrast media, adverse effects and techniques. JAAHA 27 (2), 163-77 VetMedResource.
  • Pardo A P & Morgan J P (1988) Myelography in the cat - a comparison of cisternal versus lumbar puncture using metrizamide. Vet Radiol 29 (2), 89-95 Wiley Online Library.
  • Wheeler S, Clayton-Jones D G & Wright J A (1985) Myelography in the cat. JSAP 26 (3), 143-152 Wiley Online Library.

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